Physicians with current and valid licenses in
the United States, Canada, or Mexico who read any 3 of the selected
continuing medical education (CME) articles in this issue of
JAMA, complete the CME Evaluation Form, and
fax it to the number or mail it to the address at the bottom of the CME
Evaluation Form are eligible for category 1 CME credit. There is no
charge.

The American Medical Association (AMA) is accredited
by the Accreditation Council for Continuing Medical Education to
sponsor CME for physicians. The AMA designates this educational
activity for up to 1 hour of category 1 CME credit per JAMA
issue toward the AMA Physician's Recognition Award (PRA). Each
physician should claim for credit only those hours that were actually
spent in this educational activity.

Physicians in Other Countries

Physicians with current and valid licenses in the United
States, Mexico, or Canada are eligible for CME credit even if they live
or practice in other countries. Physicians licensed in other countries
are also welcome to participate in this CME activity. However, the PRA
is available only to physicians licensed in the United States, Canada,
or Mexico.

Earning Credit and the CME Evaluation Form

To earn credit, read 3 of the articles listed below that
are designated for CME credit carefully and complete the CME Evaluation
Form. The CME Evaluation Form must be submitted within
1 month ofthe issue date. A certificate awarding 1 hour of category 1
CME credit will be faxed or mailed to you; it is then your
responsibility to maintain a record of credit received.

One of our goals is to assess continually the educational
needs of our readers so we may enhance the educational effectiveness of
JAMA. To achieve this goal, we need your help. You must
complete the CME Evaluation Form to receive credit.

Statement of Educational Purpose

JAMA is a general medical journal. Its
mission and educational purpose is to promote the science and art of
medicine and the betterment of the public health. A flexible curriculum
of article topics is developed annually by THE
JOURNAL's editorial board and is then supplemented
throughout the year with information gained from readers, authors,
reviewers, and editors. To accommodate the diversity of practice types
within JAMA's readership, the Reader's Choice CME activity
allows readers, as adult learners, to determine their own educational
needs and to assist the editors in addressing their needs in future
issues.

Readers of JAMA should be able to attain the
following educational objectives: (1) select and read at least 3
articles in 1 issue to gain new medical information on topics of
particular interest to them as physicians, (2) assess the articles'
value to them as practicing physicians, and (3) think carefully about
how this new information may influence their own practices. The
educational objective for each CME article is given after the article
title below.